<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<link rel="stylesheet" href="/css/plugins/datapicker/datepicker3.css">
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">
							<div class="form-group">	
								<label class="col-sm-2 control-label">客户名称：</label>
								<div class="col-sm-4">
									<input id="custName" name="custName" class="form-control" type="text" maxlength="20" required>
								</div>
								<label class="col-sm-2 control-label">客户编码：</label>
								<div class="col-sm-4">
									<input id="custCode" name="custCode" class="form-control" type="text" maxlength="20">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-2 control-label">联系人：</label>
								<div class="col-sm-4">
									<input id="contract" name="contract" class="form-control" type="text" maxlength="20" required>
								</div>
								<label class="col-sm-2 control-label">联系电话1：</label>
								<div class="col-sm-4">
									<input id="phone" name="phone" class="form-control" type="text" maxlength="20" required>
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-2 control-label">联系电话2：</label>
								<div class="col-sm-4">
									<input id="phone2" name="phone2" class="form-control" type="text" maxlength="20">
								</div>
								<label class="col-sm-2 control-label">地址：</label>
								<div class="col-sm-4">
									<input id="address" name="address" class="form-control" type="text" maxlength="250" required>
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-2 control-label">彩集时间：</label>
								<div class="col-sm-4">
									<input id="joinDate" name="joinDate" class="form-control" type="text" readonly required>
								</div>
								<label class="col-sm-2 control-label">收费类型：</label>
								<div class="col-sm-4">
									<select data-placeholder="--选择类别--" name="beAnnual" id="beAnnual"
                                        class="form-control chosen-select" tabindex="2">
	                                    <option value="annual" selected>年费客户</option>
	                                    <option value="other">其它客户</option>
	                                </select>
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-2 control-label">客户类型：</label>
								<div class="col-sm-4">
									<select data-placeholder="--选择类别--" name="custType" id="custType"
                                        class="form-control chosen-select" tabindex="2" required>
	                                    <option value="">--选择类别--</option>
	                                    <option value="一般纳税人">一般纳税人</option>
	                                    <option value="小规模公司">小规模公司</option>
	                                    <option value="个体工商户">个体工商户</option>
	                                </select>
								</div>
								<label class="col-sm-2 control-label">远程方式：</label>
								<div class="col-sm-4">
									<input id="remoteType" name="remoteType" class="form-control" type="text" maxlength="250">
								</div>
							</div>
							<div id="annualDiv">
														<div class="form-group">	
								<label class="col-sm-2 control-label">办公整机维护（元）：</label>
								<div class="col-sm-4">
									<input id="servZjwhFee" name="servZjwhFee" class="form-control" type="text" maxlength="18">
								</div>
								<label class="col-sm-2 control-label">税控器具报税（元）：</label>
								<div class="col-sm-4">
									<input id="servRkqjbrFee" name="servRkqjbrFee" class="form-control" type="text" maxlength="18">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-2 control-label">电子申报（元）：</label>
								<div class="col-sm-4">
									<input id="servDzsbFee" name="servDzsbFee" class="form-control" type="text" maxlength="18">
								</div>
								<label class="col-sm-2 control-label">纸质申报（元）：</label>
								<div class="col-sm-4">
									<input id="servZzsbFee" name="servZzsbFee" class="form-control" type="text" maxlength="18">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-2 control-label">代领发票（元）：</label>
								<div class="col-sm-4">
									<input id="servDlfpFee" name="servDlfpFee" class="form-control" type="text" maxlength="18">
								</div>
								<label class="col-sm-2 control-label">代打印发票（元）：</label>
								<div class="col-sm-4">
									<input id="servDdyfpFee" name="servDdyfpFee" class="form-control" type="text" maxlength="18">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-2 control-label">代理记账\理账（元）：</label>
								<div class="col-sm-4">
									<input id="servLsjzFee" name="servLsjzFee" class="form-control" type="text" maxlength="18">
								</div>
								<label class="col-sm-2 control-label">年费（合计金额）：</label>
								<div class="col-sm-4">
									<input id="annualFee" name="annualFee" class="form-control" type="text" maxlength="18">
								</div>
							</div>
							</div>
							<div id="otherDiv">
																					<div class="form-group">	
								<label class="col-sm-2 control-label">其它费用（元）：</label>
								<div class="col-sm-4">
									<input id="otherFee" name="otherFee" class="form-control" type="text" maxlength="18">
								</div>
							</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-2 control-label">备注：</label>
								<div class="col-sm-10">
									<input id="remark" name="remark" class="form-control" type="text" maxlength="450">
								</div>
							</div>
																					<div class="form-group">
								<div class="col-sm-4 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript" src="/js/appjs/system/bizCustomer/add.js">
	</script>
	<script type="text/javascript" src="/js/plugins/datapicker/bootstrap-datepicker.js"></script>
</body>
</html>
